| Bahman Tehrani Dds Llc | |
|
1214 Us Highway 60 E Republic MO 65738-1248 | |
| (417) 732-4700 | |
| Not Available |
| Full Name | Bahman Tehrani Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 1214 Us Highway 60 E, Republic, Missouri |
| Authorized Official Name and Position | Bahman Tehrani (OWNER) |
| Authorized Official Contact | 4173963602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bahman Tehrani Dds Llc 2105 E Haley St Republic MO 65738-7836 Ph: (417) 396-3602 | Bahman Tehrani Dds Llc 1214 Us Highway 60 E Republic MO 65738-1248 Ph: (417) 732-4700 |
| NPI Number | 1356601785 |
|---|---|
| Provider Enumeration Date | 05/18/2012 |
| Last Update Date | 05/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356601785 | NPI | - | NPPES |
| 1942466115 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1999139479 (Missouri) | Primary |
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